TMJ and TMD are confusing to most dentists, let alone patients. Headaches, Migraine, Tinnitus, ear pain, vertigo, tingling down the arms are TMJ symptoms that are often misdiagnosed. My purpose is to give solid information to dentists, physicians and patients on TMJ, TMD. I will share its symptoms, diagnostic steps and options for treatment including Neuromuscular Dentistry, Aesthetic dentistry solutions and Neuromuscular Functional Orthodontics.

March 15, 2008

Is it "Typical" TMJ?

This is the story of K.H. who is a Kansas City, MO Police detective.She was referred to us by her family dentist for evaluation.K.H. is a very physically fit 30+ year old that had suffered with a variety of symptoms, none of which were “typical TMJ” symptoms.Her primary complaint at her dentist’s office was ongoing tooth aches of unknown etiology.The dentist had conscientiously checked the teeth repeatedly and found no cause for the pain.To his credit, no treatment was provided to these teeth since he could not find an objective reason for the pain.I have seen many cases where endodontic treatment and even extractions were done due to reported severe tooth pain.

Despite wearing the night guard that her dentist had made for her for 3 years, the symptoms were gradually worsening.Our initial conversation brought to light many other symptoms such as ear pain, tinnitus, neck pain, shoulder pain, back pain, tingling down the arm, fatigue etc. that she has endured for many years.K.H. had attributed much of this to her stressful job.No one realized that there may be a connection to TMD.Parts of her questionnaire are reproduced here.

A battery of tests including detailed jaw computer scans, i-CAT CT scan imaging of the joints and other records revealed the discrepancy between the current occlusion and the optimal jaw alignment where the muscles would be unstrained.K.H. now has a fixed LVI orthotic on her lower arch precisely made to align her mandible.

Her progress will be reported on my next blog...entitled "Is it "Typical" TMJ? Progress"